National Provider Identifier [NPI]: |
1881605814 |
Last Name Of The Provider |
CASS |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
711 COOK DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
373033486 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
352 |
Number Of Medicare Beneficiaries |
182 |
Total Submitted Charge Amount |
77189.03 |
Total Medicare Allowed Amount |
18684.02 |
Total Medicare Payment Amount |
11891.92 |
Total Medicare Standardized Payment Amount |
15081.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
1296.23 |
Total Drug Medicare AllowedAmount |
115.69 |
Total Drug Medicare PaymentAmount |
72.92 |
Total Drug Medicare Standardized Payment Amount |
72.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
287 |
Number Of Medicare Beneficiaries With Medical Services |
182 |
Total Medical Submitted Charge Amount |
75892.8 |
Total Medical Medicare Allowed Amount |
18568.33 |
Total Medical Medicare Payment Amount |
11819 |
Total Medical Medicare Standardized Payment Amount |
15008.5 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
106 |
Number Of Male Beneficiaries |
76 |
Number Of Non Hispanic White Beneficiaries |
157 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
167 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9821 |